Borzikh O. Reconstructive-restoration cure of open complicated limbs damages

Into work base laid down an inspection results analysis and cure 614 patients with open complicated limbs damages. In work are specified the conceptions about causes and complications development mechanisms attached to open trauma on base of fixed data about peculiarities of biochemical and morphological changes in organism. For the first time is seen out complex morphological changes estimation in displanted cloths complexes into different terms after operation. For the first time on study base of ischemic aftertrauma violations into different terms after replantation and arterial revascularisation of limbs segments, are developed first of all directions their once moment of surgical correction and substantiated volume of reconstructive-restoration interventions dependency on damage degree soft and osseous cloths, violation of circulation of the blood and innervations. Developed classification of open limbs damages, complicated by damage of arterial vessels and cloths defects (certificate of authorship № 7690). On integration base of contemporary methods of microsurgery and orthopaedic reconstruction is developed a system once- and complex of littlesteps restoration officient interventions attached to surgical cure of given patients category. For the first time are substantiated superiorities once- and littlesteps complex officient interventions for reconstruction and renewing of limbs as of full-value organ. Developed technologies once- and littlesteps complex officient interventions for limbs reconstruction as of full value organ allowed to make good the anatomic and functional results and to reduce the cure terms of given category on a par on 28,2%.